ASSEMBLY HUMAN SERVICES COMMITTEE

STATEMENT TO

ASSEMBLY, No. 3266

STATE OF NEW JERSEY

DATED:  MAY 12, 2021

      The Assembly Human Services Committee reports favorably Assembly Bill No. 3266.

     This bill requires Medicaid managed care organizations to notify certain beneficiaries of maximum coverage for personal care service hours.  Specifically, a managed care organization contracted with the Division of Medical Assistance and Health Services within the Department of Human Services to provide benefits under the Medicaid program is required to notify any beneficiary who is enrolled in the managed care organization’s Medicaid plan and who is determined eligible to receive a personal care service benefit of:

     (1)   the maximum number of hours per week that the beneficiary is eligible for coverage of personal care services;

     (2)   the additional benefits under the Medicaid program that the beneficiary is eligible for coverage; and

     (3)   based upon information available to the managed care organization, any other non-Medicaid health service provided via a State program that the beneficiary may be eligible for coverage.

     The managed care organization is to communicate this notification information in writing, following the initial determination of the beneficiary’s personal care service benefit and following any redetermination of that benefit.